Provider Demographics
NPI:1790271682
Name:ADELPHIE HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:ADELPHIE HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-LEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-889-8103
Mailing Address - Street 1:1111 OAKFIELD DR STE 115A
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4930
Mailing Address - Country:US
Mailing Address - Phone:201-889-8103
Mailing Address - Fax:
Practice Address - Street 1:1111 OAKFIELD DR STE 115A
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-4930
Practice Address - Country:US
Practice Address - Phone:201-889-8103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-03
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health